Jackson Purchase Pediatrics, Pllc

NPI #1477795086 in Mayfield, Kentucky

Provider Information

NPI Number: 1477795086
Entity Type: Organization
Organization Name: Jackson Purchase Pediatrics, Pllc
Primary Specialty: Pediatrics
Enumeration Date: Mar 27, 2009
Last Updated: Mar 27, 2009

Practice Location

Address: 1029 MEDICAL CENTER CIR
Address 2: SUITE 200
City: Mayfield
State: Kentucky
ZIP Code: 42066-1189
Phone: (270) 251-4545

Authorized Official

Name: ANNALEE LYNN PAUL, MD
Title: MD/OWNER
Phone: (270) 251-4545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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